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Risk of bias assessment Only one study was classified as having low risk of bias 27 , while nearly all studies 23-26,28-33 (10 out of 11) were judged to have a high risk of bias or poor quality, primarily due to the domain of outcome measurement (Supplementary file Tables 6 and 7)

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But the study did not report data on how many participants used both e-cigarettes and the Stop Smoking Services including nicotine replacement therapy, leaving unanswered questions of whether the addition of evidence-based cessation treatments were more or less effective in curtailing smoking than just e-cigarettes alone

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